Derivation of the Falls Decision Rule to exclude intracranial bleeding without head CT in older adults who have fallen.

ABSTRACT:

Background

Ground-level falls are common among older adults and are the most frequent cause of traumatic intracranial bleeding. The aim of this study was to derive a clinical decision rule that safely excludes clinically important intracranial bleeding in older adults who present to the emergency department after a fall, without the need for a computed tomography (CT) scan of the head.

Methods

This prospective cohort study in 11 emergency departments in Canada and the United States enrolled patients aged 65 years or older who presented after falling from standing on level ground, off a chair or toilet seat, or out of bed. We collected data on 17 potential predictor variables. The primary outcome was the diagnosis of clinically important intracranial bleeding within 42 days o

SUBMITTER: de Wit K 

PROVIDER: S-EPMC10699318 | biostudies-literature | 2023 Dec

REPOSITORIES: biostudies-literature